In July 2009, the Social Care Institute for Excellence (SCIE) published a guide entitled Think child, think parent, think family: a guide to parental mental health and child welfare to help services improve their response to parents with mental health problems and their families. This document and its overall ethos are here referred to as ‘think family’. This is the final evaluation report of the project, documenting the progress made by the sites involved, and making recommendations for future activity.